Insights & Discussion
Dark chocolate with high cocoa content can affect colonic functionality and stimulate certain brain regions in healthy adults.
The study involved a controlled, randomised experiment including healthy volunteers who were given 100g of either dark chocolate (with 72% cocoa content) or white chocolate (with no cocoa content) for five consecutive days. The volunteers then recorded any abdominal symptoms and stool consistency using the Bristol Stool Score. Gastric emptying as well as intestinal and colonic transit time were examined using scintigraphy and marker studies, while the activity in different brain regions was assessed using combined positron emission tomography-computed tomography imaging techniques.
The study found that dark chocolate did not alter the functionality of the upper gastrointestinal tract. Nevertheless, it was observed that the consumption of dark chocolate led to harder stool consistency. As for the brain, an increased uptake of fluorodeoxyglucose was noticed within the visual cortex, with other regions like the somatosensory, motor and pre-frontal cortices also showing heightened activity. This suggests that dark chocolate may potentially influence certain brain functions.
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The consumption of cocoa or dark chocolate can reduce low-density lipoprotein cholesterol and fasting blood sugar levels in diabetic patients.
2021 Phytotherapy Research The effect of cocoa/dark chocolate consumption on lipid profile, glycemia, and blood pressure in diabetic patients: A meta‐analysis of observational studies Darand M, Hajizadeh Oghaz M, Hadi A, Atefi M, Amani R
Systematic Review Blood Sugar Cocoa Dark Chocolate
A systematic search of databases identified eight randomized controlled trials (RCTs) with 433 participants for meta-analysis. The results demonstrated a substantial reduction in LDL-c levels (WMD: −15.49 mg/dl) and FBS concentrations (WMD: −6.88 mg/dl) following cocoa/dark chocolate consumption. The study emphasizes the potential positive effects of cocoa/dark chocolate on the metabolic profile of diabetic individuals.
The meta-analysis included RCTs focusing on cocoa/dark chocolate interventions in diabetic patients, with a significant pooled analysis showing reduced LDL-c and FBS levels. The findings suggest that incorporating cocoa/dark chocolate in the diet of diabetic individuals could be beneficial for managing lipid profile and glycemia. Further research is necessary to solidify these insights and understand the complete impact on metabolic health.
Cocoa polyphenols promote gut health by favorably altering gut microbiota composition and producing secondary bioactive metabolites with antioxidant and anti-inflammatory properties.
2020 Nutrients Cocoa Polyphenols and Gut Microbiota Interplay: Bioavailability, Prebiotic Effect, and Impact on Human Health Sorrenti V, Ali S, Mancin L, Davinelli S, Paoli A, Scapagnini G
Cocoa Dark Chocolate Prebiotic
The study revolves around observing the effects of dietary intake of cocoa polyphenols, bioactive compounds with antioxidant and anti-inflammatory properties, on gut microbiota. These polyphenols have poor absorption in the gut and hence, rarely enter the systemic circulation in their natural forms. Instead, through a bidirectional interaction with the gut microbiota, they stimulate the proliferation of beneficial bacteria and inhibit the growth of harmful ones, thereby acting as a prebiotic.
The resulting metabolites from this interaction are bioavailable, and these enter the circulation to reach target organs. The metabolites exhibit substantial antioxidant and anti-inflammatory activities, which improve gut health. These actions augment immunity and reduce the risk of many diseases, documenting a notable health-protective potential of cocoa polyphenols, routed via modulation of gut microbiota composition.
Subgroup analysis suggests consuming at least 30 grams of dark chocolate per day for a trial period between four to eight weeks may lead to reductions in weight and body mass index.
2018 Critical Reviews in Food Science and Nutrition Does cocoa/dark chocolate supplementation have favorable effect on body weight, body mass index and waist circumference? A systematic review, meta-analysis and dose-response of randomized clinical trials Kord-Varkaneh H, Ghaedi E, Nazary-Vanani A, Mohammadi H, Shab-Bidar S
Systematic Review Body Mass Index Cocoa Dark Chocolate
The study involved a comprehensive search of 35 randomized clinical trials (RCTs) investigating the impact of cocoa/DC on body weight, BMI, and WC up to December 2017. A meta-analysis, using a random-effects model, assessed the pooled effect size, and fractional polynomial modeling was applied to explore dose-response relationships.
The meta-analysis did not find a significant overall effect of cocoa/DC supplementation on anthropometric measures. However, subgroup analysis revealed a potential reduction in body weight and BMI when cocoa/DC was consumed at higher doses (≥ 30 g/day) in trials lasting between 4 to 8 weeks. Notably, the reduction in waist circumference followed a non-linear pattern. In conclusion, while cocoa/DC supplementation may not have a universal impact on anthropometric measures, specific doses and durations could potentially influence weight and BMI.
The consumption of epicatechin, plentiful in foods like cocoa, positively influences memory, executive function, and processing speed, particularly in older adults.
2018 Nutrients The Impact of Epicatechin on Human Cognition: The Role of Cerebral Blood Flow Haskell-Ramsay C, Schmitt J, Actis-Goretta L
Cerebral Blood Flow Cocoa Cognitive Function
Methodology:
The research design for this paper was anchored on the use of intervention studies. These are intensive studies purposed to test breakthrough methodologies or practices on a select group of participants. In this case, the intervention was the ingestion of epicatechin, a compound found largely in cocoa. The subjects monitored were mostly from a more mature demographic, aged 50 years and above. The studies selected for review were those that lasted a minimum of 28 days to ensure an adequate examination period and only those which had a daily epicatechin dose exceeding 50 mg.
Discussion of Results:
The paper notes an appreciable improvement in the cognitive performance in those subjects who consumed diets high in epicatechin. More specifically, there was an enhancement in memory, executive function, and processing speed. Trends showed that these benefits were more conspicuous in studies which offered more than 50 mg of epicatechin daily, and ran for at least 28 days. The results were particularly noteworthy in the elderly population, where all participants showed cognitive improvement. The impact of epicatechin on cerebral blood flow, however, could not be definitively proved and the results suggest its role requires further exploration. Additionally, the synergistic effects of epicatechin with other dietary elements also complicated the ability to attribute the cognitive improvement to this compound alone.
Regular chocolate or cocoa consumption, rich in flavan-3-ols, has been associated with improved insulin resistance and blood vessel function, suggesting potential cardiovascular benefits.
2012 The American Journal of Clinical Nutrition Effects of chocolate, cocoa, and flavan-3-ols on cardiovascular health: a systematic review and meta-analysis of randomized trials Hooper L, Kay C, Abdelhamid A, Kroon PA, Cohn JS, Rimm EB, et al.
Systematic Review Cocoa Dark Chocolate Diastolic Blood Pressure
The study systematically reviewed 42 randomized controlled trials involving 1297 participants to investigate the impact of chocolate, cocoa, and flavan-3-ols on major cardiovascular disease risk factors. Utilizing a comprehensive search across multiple databases, the researchers conducted meta-analyses, assessing acute and short-term chronic interventions. Results revealed consistent improvements, including reduced insulin resistance (HOMA-IR), enhanced flow-mediated dilatation (FMD), and favorable effects on blood pressure and cholesterol levels.
The findings indicate promising cardiovascular benefits associated with chocolate or cocoa consumption. Notably, the study highlights improvements in insulin sensitivity, blood vessel function, and blood pressure, emphasizing the potential positive impact of flavan-3-ols found in these products.
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